Provider Demographics
NPI:1336630086
Name:HELSTROM, JAMILA ESHE (MA)
Entity Type:Individual
Prefix:
First Name:JAMILA
Middle Name:ESHE
Last Name:HELSTROM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JAMILA
Other - Middle Name:ESHE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:6450 YORK AVE S APT 411
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2380
Mailing Address - Country:US
Mailing Address - Phone:612-702-2905
Mailing Address - Fax:
Practice Address - Street 1:2265 COMO AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108
Practice Address - Country:US
Practice Address - Phone:651-645-5323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program